NPI | 1003543190 |
---|---|
Doing Business As | DAVIDSON DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | LESLY S DAVIDSON Md/Owner 843-906-3980 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2022-08-08 |
Last Update Date | 2022-08-08 |